PRAVEJ ITARUT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056416

License Status

NOT RENEWED

Business

First Name

PRAVEJ

Last Name

ITARUT

Suffix

Business Name

PRAVEJ ITARUT MD

Original Issue Date

02/09/1978

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

11/14/2011